How much rates vary
Facilitymedian $1,905 · 10th to 90th $933 to $10,965Professionalmedian $513 · 10th to 90th $380 to $1,820
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $691.83 Median $7,244.36 Typical High $17,782.79 | Facility | None | $691.83 | $7,244.36 | $17,782.79 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $426.58 Typical High $660.69 | Professional | None | $346.74 | $426.58 | $660.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,570.88 Median $10,000.00 Typical High $18,620.87 | Facility | None | $4,570.88 | $10,000.00 | $18,620.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $398.11 Median $407.38 Typical High $2,089.30 | Professional | None | $398.11 | $407.38 | $2,089.30 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,949.84 Typical High $8,912.51 | Facility | None | $100.00 | $1,949.84 | $8,912.51 |
Blue Shield Setting Professional Modifier None Typical Low $331.13 Median $478.63 Typical High $707.95 | Professional | None | $331.13 | $478.63 | $707.95 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $467.74 Median $645.65 Typical High $831.76 | Professional | None | $467.74 | $645.65 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,698.24 Typical High $3,548.13 | Facility | None | $758.58 | $1,698.24 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $524.81 Typical High $870.96 | Professional | None | $389.05 | $524.81 | $870.96 |
Contra Costa Health Setting Professional Modifier None Typical Low $457.09 Median $549.54 Typical High $851.14 | Professional | None | $457.09 | $549.54 | $851.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $398.11 Median $616.60 Typical High $1,288.25 | Professional | None | $398.11 | $616.60 | $1,288.25 |
Lucent Health Setting Professional Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Professional | None | $4,897.79 | $4,897.79 | $4,897.79 |
Molina Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $758.58 | Professional | None | $457.09 | $457.09 | $758.58 |
Providence Setting Facility Modifier None Typical Low $616.60 Median $1,698.24 Typical High $4,570.88 | Facility | None | $616.60 | $1,698.24 | $4,570.88 |
Providence Setting Professional Modifier None Typical Low $389.05 Median $512.86 Typical High $851.14 | Professional | None | $389.05 | $512.86 | $851.14 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,819.70 | Professional | None | $1,445.44 | $1,445.44 | $1,819.70 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $7,585.78 | Facility | None | $1,071.52 | $1,071.52 | $7,585.78 |
United Setting Professional Modifier None Typical Low $354.81 Median $489.78 Typical High $933.25 | Professional | None | $354.81 | $489.78 | $933.25 |
13 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $194.98 Median $208.93 Typical High $263.03 | Facility | 52 · Reduced service | $194.98 | $208.93 | $263.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $77.62 Median $83.18 Typical High $104.71 | Facility | 53 · Discontinued | $77.62 | $83.18 | $104.71 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $288.40 Median $309.03 Typical High $389.05 | Facility | 54 · Surgery only | $288.40 | $309.03 | $389.05 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $57.54 Median $63.10 Typical High $77.62 | Facility | 55 · Aftercare only | $57.54 | $63.10 | $77.62 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $38.90 Median $41.69 Typical High $52.48 | Facility | 56 · Pre-op care only | $38.90 | $41.69 | $52.48 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $288.40 Typical High $363.08 | Facility | 78 · Unplanned return to OR | $269.15 | $288.40 | $363.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $208.93 Typical High $263.03 | Professional | 52 · Reduced service | $194.98 | $208.93 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $85.11 Typical High $104.71 | Professional | 53 · Discontinued | $77.62 | $85.11 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $316.23 Typical High $389.05 | Professional | 54 · Surgery only | $288.40 | $316.23 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $63.10 Typical High $77.62 | Professional | 55 · Aftercare only | $57.54 | $63.10 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $42.66 Typical High $52.48 | Professional | 56 · Pre-op care only | $38.90 | $42.66 | $52.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $295.12 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $269.15 | $295.12 | $363.08 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $630.96 Median $758.58 Typical High $1,023.29 | Professional | 50 · Both sides | $630.96 | $758.58 | $1,023.29 |
Where California sits
The same service costs 6.5 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
California· 38th of 51
$550
AK $2,239UT $347
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.